| NPI | 1801972203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. HERBERT HENRY Owner 317-923-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20040083A) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-06-25 |